Provider Demographics
NPI:1528192820
Name:KATAPADI, MANMOHAN K (MD, FACC)
Entity Type:Individual
Prefix:DR
First Name:MANMOHAN
Middle Name:K
Last Name:KATAPADI
Suffix:
Gender:M
Credentials:MD, FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-1015
Mailing Address - Country:US
Mailing Address - Phone:614-252-8300
Mailing Address - Fax:614-252-6637
Practice Address - Street 1:800 E BROAD ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-1015
Practice Address - Country:US
Practice Address - Phone:614-252-8300
Practice Address - Fax:614-252-6637
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2417207UN0901X
OH35070483K207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0283652Medicaid
OHG39261Medicare UPIN
OHKA0811521Medicare ID - Type UnspecifiedMEDICARE NUMBER